COGENT HEALTHCARE OF ILLINIOS, LLC

NORMAL, IL
NPI1679896906
Entity TypeOrganization
Authorized ContactRON GREENO
Sole Member
615-377-5600
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
208M00000X Hospitalist
363A00000X Physician Assistant
363L00000X Nurse Practitioner
364S00000X Clinical Nurse Specialist
Enumeration Date2010-03-01
Last Update Date2010-03-01
Business Address
COGENT HEALTHCARE OF ILLINIOS, LLC
1304 FRANKLIN AVE
NORMAL, IL 61761-3558
Phone number: 309-268-3590
Mailing Address
COGENT HEALTHCARE OF ILLINIOS, LLC
5410 MARYLAND WAY SUITE 300
BRENTWOOD, TN 37027-5064
Phone number: 615-371-5763